The identification in the rural districts of the southeastern states of a form of Rocky Mountain spotted fever was reported by Rumreich, Dyer, and Badger in 1931. In several papers in the Public Health Reports of that year1,2,3 they published the evidence on which the identification was based. A clinical study was made of fifty cases of a spotted fever occurring during the tick season in rural districts of Delaware, Maryland, Pennsylvania, Virginia, North Carolina, and the District of Columbia. These cases were compared with fifty urban cases of typical endemic typhus occurring in Baltimore, Savannah, Tampa, and in smaller
SPOTTED FEVER IN THE EASTERN STATES. Ann Intern Med. ;6:1234–1236. doi: 10.7326/0003-4819-6-9-1234
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Published: Ann Intern Med. 1933;6(9):1234-1236.
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